Doctor for subcision and filler in SF Bay Area?

Question

I want to explore subcision with filler to address old acne scarring. I've heard about Dr. Emer down in Beverly Hills and will look into him. I'm wondering if anyone knows anyone great local to me here in the Bay Area who I should look into. I'm obviously willing to travel if that's what I need to do but want to know my options.

Jason Emer, MD · Answer

I love you D thank you, been watching all your great vids and sending you a lot of patients who contact me.  there is really nobody I know in the Bay Area who specializes in scarring and I did my fellowship there. I suggest seeing an expert who can really evaluate you and give you the best options.  you can do virtual consult and then plan treatment.  Best, Dr. Emer.

Elliot M. Heller, MD · Answer

Fraxel is a laser skin rejuvenation treatment that resurfaces your outer skin, erasing imperfections. It also encourages the production of collagen, a protein found in connective tissue.The result is clearly visible lines, folds and wrinkles. Fraxel laser skin rejuvenation is a non-invasive technique that affects only about 20 percent of the facial skin exposed to it. The most common side effects of Fraxel laser treatment are swelling and skin redness, which should subside within a couple of days. Other temporary side effects may include minor itching, dry skin, peeling or flaking, and a bronzed skin appearance. The risk of infection or scarring is very limited. You should stay out of the sun 2-4 weeks.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Yes, Dr Emer is a great dermatologist, for more doctors, you can get some help at acne dot org, under the scars section of this site. This site is more peer reviewed by patients, and is solely dedicated to acne scar revision. (The acne management side of this is more marketing focused, the scar revision is more clinically focused and run by a moderator called BA). Dr Rapaport and Dr Novick rank highly in the US, as does Dr Steven Weiner in FL. Acne scar revision comprises of specialised procedures. For the best results, one should target the acne scar type with ideal treatments METHODS. Using one device is not optimal. As everyone has a unique pattern of acne scarring, the best solution is a tailored one. The web reference below will take you to a resource to help you understand acne scar revision at a specialist level. I embedded all the videos in one page to help. 
As an example deep ice pick scars, and narrow box car scars are best treated with TCA CROSS. Deep narrow scars respond better to this treatment than even the most expensive lasers. On the flip side, rolling, and atrophic acne scars can improve with fractional devices such as Fraxel, fractional lasers, ProFractional erbium lasers, Infiini –Intensif –Intracel radiofrequency microneedling. Atrophic scars (depressions) can be treated with either fat grafts, PRP or dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that I use include punch elevation, surgical elevation, punch excision and traditional excision for focal scars. Early and very mild acne scars respond well to eMatrix and non-energy microneedling, as well as vascular lasers. Skin colour changes such as PIH or dark marks respond best to sun protection, creams, and Q switch lasers in the nano and pico pulse durations. 
The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. Additionally tactile examination namely touch will give me an understanding of the amount of subdermal fibrosis, as special equipment is needed for this sub-set of acne scars. In the majority of patients its finding the correct combination that give you best results, and everyone is unique! It is never about the device, its about the specialist behind the equipment that will deliver the best outcomes. All the best, Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.

Doctor for subcision and filler in SF Bay Area?

Answers (3)

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